Interprofessional Comorbidity Management.docx

For the above team to work and realise its goals and

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For the above team to work and realise its goals and fulfil its mission, it has to embody the following characteristics. Shared Goals The key goal for the whole team is to provide quality patient cantered care. The individual patient’s aim and goal is the common goal shared by each member of the team. For example, a patient presenting with hypertension as a comorbid condition in diabetes may be required by the doctor dealing with hypertension to lose some pounds via dietary change or exercise as a key goal. The whole team then will need to know this so that there will be a concerted effort towards reducing weight by the patient. Clearly Defined Roles As the patient management moves from the culture of doctor only to a team effort, there is need to spell out exactly who needs to do what. For instance in our above mentioned example, if weight needs to be measured and recorded every day, there needs to be identified
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NURSING 3 and communicated as to who exactly needs to do that. Failure to this, some roles and duties may fall through the cracks to the detriment of the patient and onset of blame game.
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